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pPRy �N,,, c SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> )Nu-" <br /> 2101 E EARHART AVE, SUITE 100 <br /> STOCKTON, CA 95206 <br /> Office: 209 953-6000 Fax: 209 953-6022 <br /> t ) ( ) <br /> Email: stocktonag2@sjgov.org Web: www•co.san-joaquln.ca.us/agcomm <br /> Operator Identification Number 39-19-3909095 <br /> Operator:STODDART, EUGENE #3909095-2019-Version: 1 <br /> 14953 E.TOKAY COLONY RD County District#:E <br /> LODI, CA 95240 Issued on:2/4/2019 <br /> Valid as of:2/4/2019 <br /> Agent:STODDART, EUGENE Expires on:12/31/2019 <br /> 14953 E.TOKAY COLONY RD Primary Phone: <br /> LODI Alternate Phone: <br /> CA 95240 Mobile Phone: <br /> Fax: <br /> Type of Use:Agricultural Use <br /> Regulatory Notes: <br /> ---------------------------------------------------------------------------------------------------------------------------------------. <br /> I understand this operator identification number does not relieve me from liability for any damage to persons or property <br /> caused by the use of pesticides. I acknowledge that duly authorized representatives from the County Department of <br /> Agriculture or the Department of Pesticide Regulation may, at reasonable times, enter and inspect fields, areas, <br /> structures,greenhouses and equipment(including protective clothing and equipment)where pesticides are handled, <br /> stored or applied (ref. 3 CCR 6140). <br /> [Form PR-ENF-125(Rev 11/06) Pesticide Enforcement Branch] <br /> Applicant: 'fti 2 —' <br /> (Name&TW <br /> l <br /> Applicant Signature: �''<'_..;� _ Date: <br /> Issuing Officer: _ Date: L <br /> Page 1 <br />